Active NPI
Circle City Medical Group
Doing business as Smartt Neurology, PC
- Specialist
- Carmel, IN
National Provider Identifier
1891795084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01058330A
- Legal business name
- CIRCLE CITY MEDICAL GROUP
- Doing business as
- Smartt Neurology, PC
- Practice address
- 9640 N Augusta Dr
Suite 412
Carmel, IN 46032-9600 - Phone
- (317) 872-4545
- Fax
- (317) 872-3959
- NPI assigned
- Jul 28, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Richard J Menning
- Title
- Medical Practice Management
- Phone
- (317) 865-9824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 01058330A | IN | Primary |
Addresses
Primary practice location
9640 N Augusta Dr
Suite 412
Carmel, IN 46032-9600
Mailing address
9640 N Augusta Dr
Suite 412
Carmel, IN 46032-9600
Phone (317) 872-4545
Other names 1
- Smartt Neurology, PC
National Provider Directory
National Provider Directory- Tax ID family
- Circle City Medical Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1467573063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891795084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9640 N AUGUSTA DR",
"address_2": "SUITE 412",
"city": "CARMEL",
"state": "IN",
"postal_code": "460329600",
"telephone_number": "317-872-4545",
"fax_number": "317-872-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9640 N AUGUSTA DR",
"address_2": "SUITE 412",
"city": "CARMEL",
"state": "IN",
"postal_code": "460329600",
"telephone_number": "317-872-4545",
"fax_number": "317-872-3959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIRCLE CITY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MENNING",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MEDICAL PRACTICE MANAGEMENT",
"authorized_official_telephone_number": "317-865-9824",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "01058330A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smartt Neurology, PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.